MEDICARE: MOHAMMED JAWAD LATIF MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	25MA11877800	NJ
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	70570	CT

General Provider Information

NPI Number	:	1497080055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED JAWAD LATIF MD

Provider Business Mailing Address
First Line	:	331 NEWMAN SPRINGS RD STE 220
Second Line	:
City	:	RED BANK
State	:	NJ
Zip	:	07701-5792
Country	:	US
Telephone Number	:	732-807-0877
Fax Number	:	201-751-1680

Provider Business Practice Location Address
First Line	:	80 JAMES ST FL 2
Second Line	:
City	:	EDISON
State	:	NJ
Zip	:	08820-3938
Country	:	US
Telephone Number	:	732-635-9300
Fax Number	:	732-852-1697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	01/16/2026

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